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Stomach Tube - Levine Type

Montana rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated October 2026.

How much does Stomach Tube - Levine Type cost?

$2.82

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $2.82 for this service. The price depends on where it is billed: about $2.82 from a physician practice, and about $2.82 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.82$2.40 to $5.75
FacilityA hospital or hospital-owned outpatient department$2.82$2.75 to $123

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $126Professionalmedian $3 · 10th to 90th $2 to $79
$1$2$5$10$20$50$100facility $3professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$2.19
Median
$2.75
Typical High
$128.82
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$2.40
Typical High
$131.83
Providence
Setting
Facility
Modifier
None
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Providence
Setting
Professional
Modifier
None
Typical Low
$1.86
Median
$2.82
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$3.02
Typical High
$3.47

Where Montana sits

The same service costs 33.1 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 4th of 51

$2.82

KS $38.90AL $1.17

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.